<form id="add-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">
		<div class="form-group">
				<label for="c-name" class="control-label col-xs-12 col-sm-2">省份名称:</label>
				<div class="col-xs-12 col-sm-8">
						<input id="c-name" data-rule="required" class="form-control" name="row[name]" type="text" value="" />
				</div>
		</div>
		<div class="form-group">
				<label for="c-count" class="control-label col-xs-12 col-sm-2">有开通城市:</label>
				<div class="col-xs-12 col-sm-8">
						<div class="radio" for="count" >
								<label for="count"><input name="row[count]" type="radio" value="0" checked="checked" /> 否</label>
								<label for="count"><input name="row[count]" type="radio" value="1"  /> 是</label>
						</div>
				</div>
		</div>
		<div class="form-group">
				<label for="c-no6" class="control-label col-xs-12 col-sm-2">编码:</label>
				<div class="col-xs-12 col-sm-8">
						<input id="c-no6" data-rule="0" class="form-control" name="row[no6]" type="text" value="" />
				</div>
		</div>
		<div class="form-group">
				<label for="c-listorder" class="control-label col-xs-12 col-sm-2">顺序:</label>
				<div class="col-xs-12 col-sm-8">
						<input id="c-listorder" data-rule="integer(+)" class="form-control" name="row[listorder]" type="number" value="" />
				</div>
		</div>
						<div class="form-group">
						<label class="control-label col-xs-12 col-sm-2"></label>
						<div class="col-xs-12 col-sm-8">
								<button type="submit" class="btn btn-success btn-embossed">确定</button>
								<button type="reset" class="btn btn-default btn-embossed">重置</button>
						</div>
				</div>
		</form>